MEDICARE: DR. BARTHOLOMEW HENDERSON DNP, CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	AP131697	TX

General Provider Information

NPI Number	:	1588016067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARTHOLOMEW HENDERSON DNP, CRNA

Provider Business Mailing Address
First Line	:	9273 MEANDERING DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-3273
Country	:	US
Telephone Number	:	682-224-9853
Fax Number	:

Provider Business Practice Location Address
First Line	:	9273 MEANDERING DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-3273
Country	:	US
Telephone Number	:	682-224-9852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	03/27/2021

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